21st Century Registration Form

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Registration Form

21^st Century Student: Skills for the New Economy

Tuesday, December 4th - Wednesday, December 5th, 2001
Hyatt Regency Capitol Hill
Washington, D.C.

Name:_______________________________________________________________

Title:________________________________________________________________

Organization:_________________________________________________________

Address:_____________________________________________________________

City: _______________________ State: ______________ Zip: _____________

Phone: ____________________ Fax: ______________________

E-mail: _______________________

If you are planning on attending AFI/ASI you do not need to fill out this form and should fill out the AFI/ASI registration form located here and check the appropriate box to indicate you will be attending the pre-conference. This form is only to be filled out if you are not attending the AFI/ASI sessions. Registration is free for the pre-conference only.

To register, please fax or mail this form by November 21, 2001 to:

Steve Smith
NCSL
444 North Capitol St., NW, Suite 515
Washington, DC 20001
Fax: (202) 737-1069 Phone: (202) 624-5400